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Organization

AUBURN FAMILY MEDICAL CENTER, INC., P.S.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. PEGGY DAWN THURSTON ADMINISTRATOR (BILLING MANAGER)
25393936043
Entity
Organization

Contact information

Practice address
202 N DIVISION ST # 2, STE 405, AUBURN, WA 98001-4939
(253) 939-3604
(253) 735-4167
Mailing address
202 NO DIVISION ST, PLAZA 2, STE 405, AUBURN, WA 98001-4939
(253) 939-3604
(253) 735-4167

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
64340
DEPT OF L & I
WA
05
7120108
WA
01
AU0041
REGENCE BLUE SHIELD
WA
01
CO5099
RAILROAD MEDICARE
Enumeration date
04/26/2007
Last updated
04/22/2008
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